Sublingual dermoid kistler için alternatif bir cerrahi yaklaşım: Olgu sunumu

Year 2007, Volume: 17 Issue: 3, 176 - 178, 23.05.2007

Mehmet Eken Cenk Evren Arif Şanlı Ziya Bozkurt

Abstract

Kırk iki yaşında kadın hasta ağız tabanında ağrısız kitle yakınmasıyla kliniğimize başvurdu. Hasta, kitle- nin 40 yıldır var olduğunu ve son bir yıldır büyüdüğü- nü belirtti. Muayenede yaklaşık 5x4 cm boyutlarında kitle görüldü. Şişlikten yapılan aspirasyon materyali- nin incelemesi sonucu lezyonun kist olduğu anlaşıl- dı. Süperior tabanlı “U” şeklinde flep ile kistik yapı çı- karıldı. Histopatolojik incelemede kist duvarının çok katlı yassı epitelle döşendiği görüldü. İyi görüş sağ- ladığı için oral mukozayı koruyan ve lingual sinir ve submandibular duktusa zarar vermeyen bu yöntem alternatif bir cerrahi yaklaşım olabilir

Keywords

Dermoid kist/cerrahi, ağız tabanı, ağızneoplazileri/cerrahi

An alternative surgical approach for sublingual dermoid cysts: a case report

Abstract

A 52-year-old woman presented with a painless swelling in the floor of the mouth. She stated that it had existed there for 40 years and had undergone a grad- ual enlargement within the past year. Examination showed a mass, 5x4 cm in size. An aspiration from the lesion revealed a cyst. The lesion was removed by a U- shaped superior based flap. Histopathological exami- nation showed stratified squamous epithelium lining the cystic lumen. This technique can be an alternative approach in such lesions because it protects the oral mucosa by providing good exposure, and prevents injury to the lingual nerve and submandibular duct.

Keywords

Dermoid cyst/surgery, mouth floor, mouth neoplasms/surgery

References

• Howell CJ. The sublingual dermoid cyst. Report of five cases and review of the literature. Oral Surg Oral Med Oral Pathol 1985;59:578-80.
• Zachariades N, Skoura-Kafoussia C. A life-threatening epidermoid cyst of the floor of the mouth: report of a case. J Oral Maxillofac Surg 1990;48:400-3.
• Walstad WR, Solomon JM, Schow SR, Ochs MW. Midline cystic lesion of the floor of the mouth. J Oral Maxillofac Surg 1998;56:70-4.
• Longo F, Maremonti P, Mangone GM, De Maria G, Califano L. Midline (dermoid) cysts of the floor of the mouth: report of 16 cases and review of surgical tech- niques. Plast Reconstr Surg 2003;112:1560-5.
• Mathews J, Lancaster J, O’Sullivan G. True lateral der- moid cyst of the floor of the mouth. J Laryngol Otol 2001;115:333-5.
• Miles LP, Naidoo LC, Reddy J. Congenital dermoid cyst of the tongue. J Laryngol Otol 1997;111:1179-82.
• Lowry RE, Tempero RM, Davis LF. Epidermoid cyst of the floor of the mouth. J Oral Surg 1979;37:271-3.
• Brusati R, Galioto S, Tullio A, Moscato G. The midline sagittal glossotomy for treatment of dermoid cysts of the mouth floor. J Oral Maxillofac Surg 1991;49:875-8.
• Di Francesco A, Chiapasco M, Biglioli F, Ancona D. Intraoral approach to large dermoid cysts of the floor of the mouth: a technical note. Int J Oral Maxillofac Surg 1995;24:233-5.